Attachment 4 - Firm and Project Information.pdf
PDF 158 KB Posted
- Attached to
- Solola Municipal Construction, Guatemala
- Solicitation number
- 19AQMM23R0049
About this file
This document is a questionnaire for firms interested in solicitation number 19AQMM23R0049 for the Solola Municipal Construction project in Guatemala issued by the Department of State Office of Acquisition Management. The questionnaire collects information on the firm including ownership, key personnel, subcontractors if any providing percentages of the total project work, suppliers providing materials and percentages, and certifications that the firm has required licenses, permits, insurance, and ability to obtain performance bonds. It requires the legal representative to certify the accuracy of the information and sign and date the document.
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Other files
| File | Type | Posted |
|---|---|---|
| 19AQMM23R0049 0001.pdf | ||
| Attachment 2.2 - Specs and Drawings.zip | ZIP file | |
| Attachment 3 - Bid Chart.xlsx | XLSX spreadsheet | |
| 19AQMM23R0049.pdf | ||
| 19AQMM23R0049 B-M.pdf | ||
| Attachment 2.1 - Specs and Drawings.zip | ZIP file | |
| Attachment 5 - Past Performance Questionnaire (PPQ).docx | DOCX document | |
| Attachment 1 - Solola Municipal Building SOW.pdf |
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Text version
Firm and Project Information Questionnaire
Firm Information NIT NUMBER:
NAME ADDRESS TELEPHONE/FAX
Owners, Partners and Principal Officer
NAME POSITION TELEPHONE
Legal Representatives and backups
NAME POSITION TELEPHONE
Project Director, Superintendent and key technical Personnel for this project
NAME POSITION TELEPHONE
Subcontractors for this project (if it does not apply indicate it in the chart)
NAME ACTIVITY TO PERFORM
% DEL PROJECT
TOTAL
TELEPHONE
Suppliers for this project
NAME MATERIALS TO SUPPLY
% DEL PROJECT
TOTAL
TELEPHONE
Requirements of the Offeror and Owners/partners:
DESCRIPTION YES NO NOTES
I certify that the information is accurate and verifiable
Signature of the Legal Representative Date
Name of the Legal Representative Id Number
ENGLISH COMMUNICATION
(Ability to understand, write and read)
ADDRESS AND CITY
Artículo 289 del Código Penal Colombiano: “El que falsifique documento privado que pueda servir de prueba, incurrirá, si lo usa, en prisión de uno (1) a seis (6) años .”
"FIRM AND PROJECT INFORMATION "
E-MAIL ADDRESS
ENGLISH COMMUNICATION
(Ability to understand, write and read)
Has adverse criminal record?
Has political or business affiliation which could be considered contrary to the interests of the United
States.
ADDRESS AND CITY
ENGLISH COMMUNICATION
(Ability to understand, write and read)
Has all licenses and permits required by local law to perform?(Chamber of Commerce, Merchandise
Register, Professional Licenses, etc.)
Meets local insurance requirements (Prestaciones Sociales, ICA, Sena, etc.)
Has the ability to obtain a performance and guarantee bond and payment bond, or adequate performance security, such as irrevocable letters of credit or guarantees issued by a reputable financial institution. Include Information
File details come from the government source that posted it. Updated .